Atch_6_Exhibt_1_CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

UH-1N

E. CONTRACT / PR NO.

FD20602300134

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A001

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Production Report

3. SUBTITLE

Production Report

4. AUTHORITY

DI-PSSS-81995

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.3.10

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

MTHLY

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

DATE: 3 AUG 2023

BLK 4: The Data Item Description (DID) contains the format, content and preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. This report shall be provided in the format of Table 1. See DID for Table 1 and content requirement explanations at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (PMS EMAIL ADDRESS) for acceptance.

BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16.

BLK 9: "A" Approved for Public Release; distribution is unlimited.

BLKS 10- 13: Report shall be submitted NLT the 10th calendar day after the end of the month being reported.

BLK 14: EMAIL electronic Contract Depot Maintenance Production Report to the Production Management Specialist (PMS) and Program Manager (PM). Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

411 SCMC/PMS Workflow:

411SCMS.PMS@us.af.mil PMS provided on Contract Award

0 1 0

411 SCMS/GULAB Program Manager (PM) Provided on Contract Award

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Quinn, Sharon

411 SCMS / GULBB

478-327-6584

H. DATE

3 AUG 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

3 AUG 2023

Page 1 of 8DD FORM 1423-1, FEB 2001 Version 6Generated by PRPS using Jasper Reports on 26 Apr 2023

PREVIOUS EDITION MAY BE USED.

16. REMARKS

NAME: Quinn, Sharon

CLIN Exhibit Data Item No. Performance Period A A001 Base Year Pd B B001 Ordering/Period 1 C C001 Ordering/Period 2 D D001 Ordering/Period 3 E E001 Ordering/Period 4

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

UH-1N

E. CONTRACT / PR NO.

FD20602300134

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A002

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY

DI-MGMT-81803A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA 4.4.1.2

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

See Block 16

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

NAME: Quinn, Sharon DATE: 3 AUG 2023

BLK 4: The Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (PM EMAIL ADDRESS) for acceptance.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Ste 221, Robins AFB, GA 31098.

BLKS 10-12: Contractor shall submit an IUID Marking Plan, to the Engineer, AFLCMC/WIUEC, within 10 working days after contract award. Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 13: If, during the performance of this contract, changes to the IUID Marking Plan are required, submit the revised IUID Marking Plan to Engineering Office, AFLCMC/WIUEC, 235 Byron Street, Suite 19A, Robins AFB, GA 31098.

Procedures identified for blocks 8 & 10-12 will apply.

BLK 14: EMAIL electronic IUID Marking Plan to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 411 SCMS/GULAB and Engineer AFLCMC/WIUEC. Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

Email:

411 SCMS/GULAB Program Manager (PM)/COR Provided on Contract Award

1 1 0

Email:

AFLCMC/WIUEC Engineer

JOHNNY.MANGUM@US.AF

. MIL

1 1 0

Email:

AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award

0 1 0

Email:

DCMA/ACO

0 1 0

2 4 015. TOTAL

G. PREPARED BY

Quinn, Sharon

411 SCMS / GULBB

478-327-6584

H. DATE

3 AUG 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

3 AUG 2023

Page 2 of 8DD FORM 1423-1, FEB 2001 Version 6Generated by PRPS using Jasper Reports on 26 Apr 2023

PREVIOUS EDITION MAY BE USED.

CLIN Exhibit Data Item No. Performance Period A A001 Base Year Pd B B001 Ordering/Period 1 C C001 Ordering/Period 2

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

UH-1N

E. CONTRACT / PR NO.

FD20602300134

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A003

2. TITLE OF DATA ITEM

IUID Marking Activity and Verification Report

3. SUBTITLE

IUID Marking Activity and Verification Report

4. AUTHORITY

DI-MGMT-81804A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.4.1.3

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

QRTLY

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

BLK 4: The Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (PM EMAIL ADDRESS) for acceptance.

BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-12.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

BLKS 10-13: Contractor shall submit an IUID Marking Activity and Verification Report, to the Engineer, AFLCMC/WIUEC, every three months (quarterly). Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 14: EMAIL electronic IUID Marking Activity and Verification Report to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 411 SCMS/GULAB, and Engineer AFLCMC/WIUEC. Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

411 SCMS/GULAB Program Manager (PM) Provided on Contract Award

0 1 0

AFLCMC/WIUEC Engineer

JOHNNY.MANGUM@US.AF

. MIL

0 1 0

AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award

0 1 0

DCMA/ACO 0 1 0

0 4 015. TOTAL

G. PREPARED BY

Quinn, Sharon

411 SCMS / GULBB

478-327-6584

H. DATE

3 AUG 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

3 AUG 2023

Page 3 of 8DD FORM 1423-1, FEB 2001 Version 6Generated by PRPS using Jasper Reports on 26 Apr 2023

PREVIOUS EDITION MAY BE USED.

16. REMARKS NAME:

Quinn, Sharon

CLIN Exhibit Data Item No.

DATE: 3 AUG 2023

Performance Period A A001 Base Year Pd B B001 Ordering/Period 1 C C001 Ordering/Period 2

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Executive Services Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

UH-1N

E. CONTRACT / PR NO.

FD20602300134

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A004

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (CAV) Reporting

3. SUBTITLE

CFM End Item Reporting

4. AUTHORITY

DI-MGMT-81838

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.6

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

DATE: 3 AUG 2023

Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4: All reporting shall be submitted in the English Language.

2. Block 5: Contract Reference: PWS Paragraph 4.10 and CAV AF Reporting Requirements Document.

3. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence

4. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronics submission in CAV AF using the CAV AF website or CICA XML.

b. Contractor shall submit a DD250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address : https:// wawf.eb.mil, using DODAAC FA8524: MARK FOR: address in Block 14A.

c. Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following e-mail address.

Logistics Manager (LM) rodney.mathis@us.af.mil.

COORDINATORS:

FA8524 AFSC/PZAA

235 Bryon Street Building 300 Suite 19A Robins, AFB GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Quinn, Sharon

411 SCMS / GULBB

478-327-6584

H. DATE

3 AUG 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

3 AUG 2023

Page 4 of 8DD FORM 1423-1, FEB 2001 Version 6Generated by PRPS using Jasper Reports on 26 Apr 2023

PREVIOUS EDITION MAY BE USED.

16. REMARKS

NAME: Quinn, Sharon

CLIN Exhibit Data Item No. Performance Period

A A001 Base Year Pd B B001 Ordering/Period 1 C C001 Ordering/Period 2 D D001 Ordering/Period 3 E E001 Ordering/Period 4

1612499396C Underline

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

UH-1N

E. CONTRACT / PR NO.

FD20602300134

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A005

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.7

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

NAME: Quinn, Sharon

BLK 4: The Data Item Description contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements delineated in the statement of work. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 Program Manager (PM) for acceptance.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

BLKS 10-13: Draft Counterfeit Prevention Plan shall be submitted electronically within 30 workdays after contract award. Contractor shall provide quarterly updates as necessary until final at completion of program. The Government will have 15 workdays to approve, submit comments, or disapprove all submissions. The contractor shall have 15 workdays to resubmit report if changes were deemed necessary by the Government.

BLK 14: EMAIL electronic Counterfeit Prevention Plan to the Procuring Contract Officer (PCO) AFSC/PZAAA, DCMA/ACO, Program Manager (PM) 411 SCMS/GULAB and Engineer AFLCMC/WIUEC. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

Email:

411 SCMS/GULAB Program Manager (PM) Provided on Contract Award

1 1 0

Email:

AFLCMC/WIUE Engineer Johnny.Mangum @us.af.mil

1 1 0

Email:

AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award

0 1 0

Email:

DCMA/ACO

0 1 0

2 4 015. TOTAL

G. PREPARED BY

Quinn, Sharon

411 SCMS / GULBB

478-327-6584

H. DATE

3 AUG 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

3 AUG 2023

Page 5 of 8DD FORM 1423-1, FEB 2001 Version 6Generated by PRPS using Jasper Reports on 26 Apr 2023

PREVIOUS EDITION MAY BE USED.

CLIN Exhibit Data Item No.

DATE: 3 AUG 2023

Performance Period A A001 Base Year Pd B B001 Ordering/Period 1 C C001 Ordering/Period 2

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

UH-1N

E. CONTRACT / PR NO.

FD20602300134

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A006

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

Government Property Inventory Report

4. AUTHORITY

DI-MGMT-80441D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.12

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ANNLY

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

NAME: Quinn, Sharon

BLK 4: The data item description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E- DD FORM 250 shall be submitted to FA8524 Program Manager (PM/ and Supply Planner (SP) EMAIL ADDRESS) for acceptance.

Block 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-13.

BLK 9: "A" Approved for Public Release; distribution is unlimited.

Block 10-13: The annual physical inventory report shall be provided within seven (7) calendar days of the end of each option/ordering period for the contract. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the option/ordering reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

BLK 14: EMAIL electronic Annual Physical Inventory Report to the Supply Planner (SP) and Program Manager (PM).

Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in Microsoft Office Excel format for all reports.

COORDINATORS:

Email:

411 SCMS/GULAB Program Manager (PM) PM email provided on Contract Award

0 1 0

Email:

PMS email provided on Contract Award

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Quinn, Sharon

411 SCMS / GULBB

478-327-6584

H. DATE

3 AUG 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

3 AUG 2023

Page 6 of 8DD FORM 1423-1, FEB 2001 Version 6Generated by PRPS using Jasper Reports on 26 Apr 2023

PREVIOUS EDITION MAY BE USED.

CLIN Exhibit Data Item No.

DATE: 3 AUG 2023

Performance Period A A001 Base Year Pd B B001 Ordering/Period 1 C C001 Ordering/Period 2

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

UH-1N

E. CONTRACT / PR NO.

FD20602300134

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A007

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

Accident/Incident Report/Mishap Notification

4. AUTHORITY

DI- SAFT-81563

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 5.5.2

6. REQUIRING OFFICE

78 ABW/SE

7. DD 250 REQ

N/A

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

11. AS OF DATE

Contract Award

12. DATE OF FIRST

SUBMISSION

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

NAME: Quinn, Sharon

Block 9: DISTRIBUTATION STATEMENT "B": Distribution authorized to U.S. Government agencies only for

Administrative or Operational Use. Other requests for this document shall be referred to 78 ABW/SE.

Block 10, 11, 12, 13: As required, upon each occurrence. Accident/Mishap reports shall be submitted within 24 hours of the mishap.

Block 14: Document submission shall be provided electronically in Portable Document Format (PDF) to the listed addressees.

The Contractor shall report mishaps involving damage or injury to USAF interests by contacting the Contracting

Officer Representative by telephone within two hours and the Contractor shall cooperate with USAF safety investigations.

The Contractor shall cooperate and assist Government personnel in the investigation of the mishap and submit an

Accident/Incident Report within 24 hours

COORDINATORS:

0 1 0

G. PREPARED BY

Quinn, Sharon

411 SCMS / GULBB

478-327-6584

H. DATE

3 AUG 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

3 AUG 2023

Page 7 of 8DD FORM 1423-1, FEB 2001 Version 6Generated by PRPS using Jasper Reports on 26 Apr 2023

PREVIOUS EDITION MAY BE USED.

CLIN Exhibit Data Item No.

DATE: 3 AUG 2023

Performance Period A A001 Base Year Pd B B001 Ordering/Period 1 C C001 Ordering/Period 2 D D001 Ordering/Period 3 E E001 Ordering/Period 4

1 3 015. TOTAL

78 ABW/SE Mishap Reporting @ 78abw.se.mishap@us.af.mil

0 1 0

1 0Contract Officer Representative (COR) @ (email)

1 1 0

0 1 0Procurement Contract Officer (PCO) @ (email)

0 1 0

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

UH-1N

E. CONTRACT / PR NO.

FD20602300134

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A008

2. TITLE OF DATA ITEM

Quality Assessment Report

3. SUBTITLE

Quality Assessment Report

4. AUTHORITY

DI-QCIC-81187

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 5.9

6. REQUIRING OFFICE

411 SCMS GULAB

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

NAME: Quinn, Sharon

Block 7: Ship to for Acceptor Invoice DODAAC FA524, For Acceptance.

Blocks 10-13: Contractor shall submit QCP/QMS in contractor's format within 30 days after contract award. Any and all revisions to plan shall be submitted as updates are made.

Block 14: Distribution of plan shall be made by Contractor through WAWF to the Government Logistics Management Specialist.

LMS: RODNEY MATHIS Email:rodney.mathis@us.af.mil Commercial Phone: (478) 327-6937

COORDINATORS:

411 SCMS/GULAB Program Manager (PM) Provided on Contract Award

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Quinn, Sharon

411 SCMS / GULBB

478-327-6584

H. DATE

3 AUG 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

3 AUG 2023

Page 8 of 8DD FORM 1423-1, FEB 2001 Version 6Generated by PRPS using Jasper Reports on 26 Apr 2023

PREVIOUS EDITION MAY BE USED.

CLIN Exhibit Data Item No.

DATE: 3 AUG 2023

Performance Period A A001 Base Year Pd B B001 Ordering/Period 1 C C001 Ordering/Period 2